Individual
JENELLE SEGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 NORTH ST, MARY ESTHER, FL 32569-1859
(850) 225-0985
Mailing address
20 NORTH ST, MARY ESTHER, FL 32569-1859
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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